Peripheral vertigo of psychological origin - anxiety

Very low urgency
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It is an unrealistic spinning sensation of our own body or the objects around us, in the context of a psychological and/or psychiatric disorder.

It usually begins after a stress crisis, personal or professional crisis.

The most frequent symptoms include a feeling of insecurity, faintness, dullness, lightheadedness, a feeling of being in a boat, or that something is spinning inside the head. There is rarely actual vertigo. It is usually accompanied by somatic symptoms such as: neck tension, abdominal discomfort, palpitations, increased frequency and desire to urinate, a feeling of generalised weakness and fatigue.

It is diagnosed by a detailed medical history and a thorough physical examination.

Medical treatment is based on the use of certain antidepressants, mild neuroleptics and/or short half-life anxiolytics. Psychotherapy (psychoeducation with cognitive behavioural therapy) is also necessary to correct or eradicate this pathology.

Bibliographic references
  1. Joseph M Furman. Pathophysiology, etiology, and differential diagnosis of vertigo. UpToDate. Jun 03, 2015.
  2. Joseph M Furman, Jason JS Barton. Evaluation of the patient with vertigo. UpToDate. Jun 10, 2015.
  3. Joseph M Furman, Jason JS Barton. Treatment of vertigo. UpToDate. May 26, 2015.
  4. Mark F. Walker, Robert B. Daroff. Mareo y vértigo.Harrison. Principios de Medicina Interna. Volumen 1. 19º Edición. 148:151.
  5. Javier Chacón Martínez , Jorge Alberto Jiménez Antolín, José Antonio Garrido Robres. Mareos y vértigos en urgencias. Manual de protocolos y actuación en urgencias. Hospital Virgen de la Salud, Complejo Hospitalario de Toledo. Tercera edición. 2010. 545:552.
Author
Dr. Elvira Moreno
Copyright
© TeckelMedical 2026

Symptoms

    Spinning sensation


    Involuntary, repeated eye movement


    Dizziness


    State of anxiety


    Excessive sweating

Symptoms to watch out for

Fever (temperature higher than 38 ºC)
Vomits that persist for more than 3 days.
If it is accompanied by falls, blows to the head or fractures

Self-care

Reduce or avoid caffeine and/or alcohol consumption.
Often take part in activities that help reduce anxiety levels (yoga, tai chi, meditation).
Relative rest, rest until symptoms subside.
Check with your general practitioner to get anxiolytic treatment.
Consume antiemetics if vomits are present.